Small Bumps Below the Glans: Causes and Solutions

The sides of the frenulum beneath the glans?

There are four small pimple-like lesions or skin tags that have developed on both sides of the frenulum beneath the glans.
What could this be, and what should I do?

Niming, 30~39 year old female. Ask Date: 2016/03/16

Dr. Li Xinyi reply Urology

It sounds like there are no issues.
However, if you have concerns, it is advisable to see a urologist for an examination.

Reply Date: 2016/03/16

More Info

The presence of small bumps or lesions beneath the glans, particularly if they resemble small pimples or flesh-colored growths, can be concerning for many individuals. These bumps can arise from various causes, and understanding their nature is crucial for determining the appropriate course of action.

One common cause of such bumps is Pearly Penile Papules (PPP). These are small, benign growths that typically appear around the corona of the glans and are often mistaken for sexually transmitted infections or other pathological conditions. PPP is a normal anatomical variant and does not require treatment unless the individual desires removal for cosmetic reasons.

Another possibility is Fordyce spots, which are small, painless, pale bumps that can appear on the shaft of the penis and around the glans. These are sebaceous glands that are not associated with hair follicles and are also considered a normal variant. They do not pose any health risks and typically do not require treatment.

However, if the bumps are accompanied by other symptoms such as pain, itching, or discharge, it may indicate a more serious condition. For instance, genital warts, caused by the human papillomavirus (HPV), can appear as small, flesh-colored or gray bumps and may require medical evaluation and treatment. Similarly, herpes simplex virus can cause painful blisters or sores in the genital area, necessitating a different approach to management.

In some cases, folliculitis (inflammation of hair follicles) or contact dermatitis (skin irritation due to contact with an irritant or allergen) can also present as small bumps. These conditions may resolve with proper hygiene and avoidance of irritants.

Given the variety of potential causes, it is essential to consult a healthcare professional for an accurate diagnosis. A dermatologist or urologist can perform a physical examination and, if necessary, conduct tests to rule out infections or other conditions. They may also provide treatment options if the bumps are determined to be symptomatic or if they cause distress.

In summary, while small bumps beneath the glans can often be benign, it is crucial to monitor any changes in size, color, or associated symptoms. If you are experiencing discomfort or have concerns about the appearance of these bumps, seeking medical advice is the best course of action. Early intervention can help address any underlying issues and provide peace of mind.

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